Historical scan reference for intraoral scans

ABSTRACT

During an intraoral scan session, a processing device receives a plurality of intraoral images of a dental site. The processing device determines that a historical template of the dental site is existent and registers a first intraoral image of the plurality of intraoral images to the historical template at a first region of the dental site depicted in the historical template. The processing device may register one or more remaining intraoral images of the plurality of intraoral images to the historical template at a second region of the dental site depicted in the historical template. The first region may be separated from the second region.

TECHNICAL FIELD

Embodiments of the present invention relate to the field of intraoralscanning and, in particular, to a system and method for improving theefficiency and accuracy of intraoral scanning.

BACKGROUND

In both prosthodontic and orthodontic procedures, obtaining athree-dimensional (3D) model of a dental site in the oral cavity is aninitial procedure that is performed. In orthodontic procedures it can beimportant to provide a model of one or both jaws. 3D models created bythe use of a 3D modeling scanner (e.g., a scanning wand) aid in theaccurate creation of molds for corrective work. Scans may typically beperformed when a patient comes in for a progress update check, toreceive additional treatment, or sometimes during a routine hygieneappointment. Historically, each scan for a particular patient is treatedas a new scan, unrelated to past scans of the same patient.

Additionally, scans have historically been cumbersome and timeconsuming. 30 scans rely on being able to stitch (hereafter referred toas “register”) images of a scan session captured by a scanner togenerate an accurate and complete 3D model. Frequently, images of a scansession may not be registered due to insufficient overlap betweenimages. Images that cannot be registered to another image of the scansession are discarded, and a user interrupts the session to rescan anydiscarded areas. Furthermore, many scanners have a difficult timeinitializing after an interruption due to insufficient overlap betweenimages or excessive wand movement. Such limitations are frustrating andimpose additional time to work through.

BRIEF DESCRIPTION OF THE DRAWINGS

The present invention is illustrated by way of example, and not by wayof limitation, in the figures of the accompanying drawings.

FIG. 1 illustrates one embodiment of a system for performing intraoralscanning and generating a virtual three dimensional model of a dentalsite.

FIG. 2A illustrates a flow diagram for a first method of referencing ahistorical scan during an intraoral scan session, in accordance withembodiments of the present invention.

FIG. 2B illustrates a flow diagram for a second method of referencing ahistorical scan during an intraoral scan session, in accordance withembodiments of the present invention.

FIG. 3A illustrates a flow diagram for a method of generating a surfaceof an intraoral scan session, in accordance with embodiments of thepresent invention.

FIG. 3B illustrates a flow diagram for a method of determining adepiction of a change to a dental site between a current intraoral scansession and a past intraoral scan session, in accordance withembodiments of the present invention.

FIG. 4 illustrates a flow diagram for another method of referencing ahistorical scan during an intraoral scan session, in accordance withembodiments of the present invention.

FIG. 5 illustrates a three dimensional representation of intraoralimages taken during a current scan session that have been registered toa historical template, in accordance with embodiments of the presentinvention.

FIG. 6 illustrates a block diagram of an example computing device, inaccordance with embodiments of the present invention.

DETAILED DESCRIPTION

Described herein is a method and apparatus for improving the quality ofscans, such as intraoral scans taken of dental sites for patients.During a scan session, a user (e.g., a dental practitioner) of a scannermay generate multiple different images (also referred to as scans) of adental site, model of a dental site, or other object. The images may bediscrete images (e.g., point-and-shoot images) or frames from a video(e.g., a continuous scan). These images may not capture all of the areasof the dental site and/or there may be areas for which there isconflicting data between images. For example, images recorded during ascan session may not be adequately registered to other images, thusyielding an incomplete arrangement of images of the scan session.Historically, images that cannot or should not be registered to otherimages in the scan session may be discarded, leaving the user to rescanthe areas not captured. In embodiments described herein, such images areregistered to a template that is based on a prior scan. This canfacilitate quick and accurate scan sessions by reducing or eliminatingdiscarded images. Additionally, during a scan session regions of adental site that have been scanned in the scan session may be registeredto the historical template and displayed in relation to the historicaltemplate in a three dimensional image. Current scan data may berepresented using first imagery (e.g., solid surfaces) and historicalscan data may be represented using second imagery (e.g., translucentsurfaces or pixelated surfaces). As additional intraoral images arereceived during the scan session, these intraoral images may beregistered to previously received intraoral images from the current scansession or to the historical template. The three dimensional image maythen be updated to reflect the new intraoral images.

Embodiments described herein are discussed with reference to intraoralscanners, intraoral images, intraoral scan sessions, and so forth.However, it should be understood that embodiments also apply to othertypes of scanners than intraoral scanners. Embodiments may apply to anytype of scanner that takes multiple images and registers these imagestogether to form a combined image or virtual model. For example,embodiments may apply to desktop model scanners, computed tomography (CTscanners, and so forth. Additionally, it should be understood that theintraoral scanners or other scanners may be used to scan objects otherthan dental sites in an oral cavity. For example, embodiments may applyto scans performed on physical models of a dental site or any otherobject. Accordingly, embodiments describing intraoral images should beunderstood as being generally applicable to any types of imagesgenerated by a scanner, embodiments describing intraoral scan sessionsshould be understood as being applicable to scan sessions for any typeof object, and embodiments describing intraoral scanners should beunderstood as being generally applicable to many types of scanners.

FIG. 1 illustrates one embodiment of a system 100 for performingintraoral scanning and/or generating a virtual three dimensional modelof a dental site. In one embodiment, system 100 carries out one or moreoperations below described in method 200. System 100 includes acomputing device 105 that may be coupled to a scanner 150 and/or a datastore 110.

Computing device 105 may include a processing device, memory, secondarystorage, one or more input devices (e.g., such as a keyboard, mouse,tablet, and so on), one or more output devices (e.g., a display, aprinter, etc.), and/or other hardware components. Computing device 105may be connected to a data store 110 either directly or via a network.The network may be a local area network (LAN), a public wide areanetwork (WAN) (e.g., the Internet), a private WAN (e.g., an intranet),or a combination thereof. The computing device 105 may be integratedinto the scanner 150 in some embodiments to improve performance andmobility.

Data store 110 may be an internal data store, or an external data storethat is connected to computing device 105 directly or via a network.Examples of network data stores include a storage area network (SAN), anetwork attached storage (NAS), and a storage service provided by acloud computing service provider. Data store 110 may include a filesystem, a database, or other data storage arrangement.

In some embodiments, a scanner 150 for obtaining three-dimensional (3D)data of a dental site in a patient's oral cavity is operativelyconnected to the computing device 105. Scanner 150 may include a probe(e.g., a hand held probe) for optically capturing three dimensionalstructures (e.g., by confocal focusing of an array of light beams). Oneexample of such a scanner 150 is the iTero® intraoral digital scannermanufactured by Align Technology, Inc. Other examples of intraoralscanners include the 1M™ True Definition scanner, the Apollo DIintraoral scanner, the CEREC AC intraoral scanner manufactured byDentsply Sirona®, and the Trios® intraoral scanner manufactured by3Shape®.

The scanner 150 may be used to perform an intraoral scan of a patient'soral cavity. An intraoral scan application 108 running on computingdevice 105 may communicate with the scanner 150 to effectuate theintraoral scan. A result of the intraoral scan may be a sequence ofintraoral images that have been discretely generated (e.g., by pressingon a “generate image” button of the scanner for each image).Alternatively, a result of the intraoral scan may be one or more videosof the patient's oral cavity. An operator may start recording the videowith the scanner 150 at a first position in the oral cavity, move thescanner 150 within the oral cavity to a second position while the videois being taken, and then stop recording the video. In some embodiments,recording may start automatically as the scanner identifies either teethor soft tissue from the oral cavity. The scanner 150 may transmit thediscrete intraoral images or intraoral video (referred to collectivelyas intraoral image data 135) to the computing device 105. Computingdevice 105 may store the image data 135 in data store 110.Alternatively, scanner 150 may be connected to another system thatstores the image data in data store 110. In such an embodiment, scanner150 may not be connected to computing device 105.

According to an example, a user (e.g., a practitioner) may subject apatient to intraoral scanning. In doing so, the user may apply scanner150 to one or more patient intraoral locations. The scanning may bedivided into one or more segments. As an example the segments mayinclude a lower buccal region of the patient, a lower lingual region ofthe patient, a upper buccal region of the patient, an upper lingualregion of the patient, one or more preparation teeth of the patient(e.g., teeth of the patient to which a dental device such as a crown oran orthodontic alignment device will be applied), one or more teethwhich are contacts of preparation teeth (e.g., teeth not themselvessubject to a dental device but which are located next to one or moresuch teeth or which interface with one or more such teeth upon mouthclosure), and/or patient bite (e.g., scanning performed with closure ofthe patient's mouth with scan being directed towards an interface areaof the patient's upper and lower teeth). Via such scanner application,the scanner 150 may provide image data (also referred to as scan data)135 to computing device 105. The image data 135 may include 2D intraoralimages and/or 3D intraoral images. Such images may be provided from thescanner to the computing device 105 in the form of one or more points(e.g., one or more pixels and/or groups of pixels). For instance, thescanner 150 may provide such a 3D image as one or more point clouds.

The manner in which the oral cavity of a patient is to be scanned maydepend on the procedure to be applied thereto. For example, if an upperor lower orthodontic appliance is to be created, then a lull scan of themandibular or maxillary edentulous arches may be performed. In contrast,if a bridge is to be created, then just a portion of a total arch may bescanned which includes an edentulous region, the neighboring abutmentteeth and the opposing arch and dentition. Thus, the dental practitionermay input the identity of a procedure to be performed into intraoralscan application 108. For this purpose, the dental practitioner maychoose the procedure from a number of preset options on a drop-down menuor the like, from icons or via any other suitable graphical inputinterface. Alternatively, the identity of the procedure may be input inany other suitable way, for example by means of preset code, notation orany other suitable manner, intraoral scan application 108 having beensuitably programmed to recognize the choice made by the user.

By way of non-limiting example, dental procedures may be broadly dividedinto prosthodontic (restorative) and orthodontic procedures, and thenfurther subdivided into specific forms of these procedures.Additionally, dental procedures may include identification and treatmentof gum disease, sleep apnea, and intraoral conditions. The termprosthodontic procedure refers, inter alia, to any procedure involvingthe oral cavity and directed to the design, manufacture or installationof a dental prosthesis at a dental site within the oral cavity, or areal or virtual model thereof, or directed to the design and preparationof the dental site to receive such a prosthesis. A prosthesis mayinclude any restoration such as crowns, veneers, inlays, onlays, andbridges, for example, and any other artificial partial or completedenture. The term orthodontic procedure refers, inter alia, to anyprocedure involving the oral cavity and directed to the design,manufacture or installation of orthodontic elements at a dental sitewithin the oral cavity, or a real or virtual model thereof, or directedto the design and preparation of the dental site to receive suchorthodontic elements. These elements may be appliances including but notlimited to brackets and wires, retainers, clear aligners, or functionalappliances.

A type of scanner to be used may also be input into intraoral scanapplication 108, typically by a dental practitioner choosing one among aplurality of options. Examples of scanners that may be used include wandscanners, tray scanners, and so on. If the scanner 150 that is beingused is not recognizable by intraoral scan application 108, it maynevertheless be possible to input operating parameters of the scannerthereto instead. For example, the optimal spacing between a head of thescanner and scanned surface can be provided, as well as the capture area(and shape thereof) of the dental surface capable of being scanned atthis distance. Alternatively, other suitable scanning parameters may beprovided.

Intraoral scan application 108 may identify spatial relationships thatare suitable for scanning the dental site so that complete and accurateimage data may be obtained for the procedure in question. Intraoral scanapplication 108 may establish an optimal manner for scanning a targetarea of the dental site.

Intraoral scan application 108 may identify or determine a scanningprotocol by relating the type of scanner, resolution thereof, capturearea at an optimal spacing between the scanner head and the dentalsurface to the target area, etc. For a point-and-shoot scanning mode,the scanning protocol may include a series of scanning stationsspatially associated with the dental surfaces of the target area.Preferably, overlapping of the images or scans capable of being obtainedat adjacent scanning stations is designed into the scanning protocol toenable accurate image registration, so that intraoral images can beregistered to provide a composite 3D virtual model. For a continuousscanning mode (video scan), scanning stations may not be identified.Instead, a practitioner may activate the scanner and proceed to move thescanner within the oral cavity to capture a video of the target areafrom multiple different viewpoints.

In one embodiment, intraoral scan application 108 includes an imageregistration module 111, a historical template module 112, an area ofinterest (AOI) identifying module 115, a flagging module 118 and a modelgeneration module 125. Alternatively, the operations of one or more ofthe image registration module 111, historical template module 112, AOIidentifying module 115, flagging module 118 and/or model generationmodule 125 may be combined into a single module and/or divided intomultiple modules.

Image registration module 111 is responsible for registering orstitching together images received during a scan session. The images mayinclude X-rays, 2D intraoral images, 3D intraoral images, 2D models,and/or virtual 3D models corresponding to the patient visit during whichthe scanning occurs. In one embodiment, performing image registrationincludes capturing 3D data of various points of a surface in multipleimages (views from a camera), and registering the images by computingtransformations between the images. The images may then be integratedinto a common reference frame by applying appropriate transformations topoints of each registered image. In one embodiment, the images may beregistered together in real time, during the current scan session.

In one embodiment, as each new image is received, that new image iscompared to some or all previous images received during a current scansession. If there is sufficient overlap between the current image andone or more of the previous images, then the current image may beregistered with those one or more previous images. Image registrationalgorithms are carried out to register intraoral images, whichessentially involves determination of the transformations which alignone image with another image. Image registration may involve identifyingmultiple points in each image (e.g., point clouds) of an image pair,surface fitting to the points of each image, and using local searchesaround points to match points of the two adjacent images. For example,image registration module 111 may match points of one image with theclosest points interpolated on the surface of the other image, anditeratively minimize the distance between matched points. Imageregistration module 111 may also find the best match of curvaturefeatures at points of one image with curvature features at pointsinterpolated on the surface of the other image, without iteration. Imageregistration module 111 may also find the best match of spin-image pointfeatures at points of one image with spin-image point features at pointsinterpolated on the surface of the other image, without iteration. Othertechniques that may be used for image registration include those basedon determining point-to-point correspondences using other features andminimization of point-to-surface distances, for example. Other imageregistration techniques may also be used.

Many image registration algorithms perform the fitting of a surface tothe points in adjacent images, which can be done in numerous ways.Parametric surfaces such as Bezier and B-Spline surfaces are mostcommon, although others may be used. A single surface patch may be fitto all points of an image, or alternatively, separate surface patchesmay be fit to any number of a subset of points of the image. Separatesurface patches may be fit to have common boundaries or they may be fitto overlap. Surfaces or surface patches may be fit to interpolatemultiple points by using a control-point net having the same number ofpoints as a grid of points being fit, or the surface may approximate thepoints by using a control-point net which has fewer number of controlpoints than the grid of points being fit. Various matching techniquesmay also be employed by the image registration algorithms.

In one embodiment, image registration module 111 may determine a pointmatch between images, which may take the form of a two dimensional (2D)curvature array. A local search for a matching point feature in acorresponding surface patch of an adjacent image is carried out bycomputing features at points sampled in a region surrounding theparametrically similar point. Once corresponding point sets aredetermined between surface patches of the two images, determination ofthe transformation between the two sets of corresponding points in twocoordinate frames can be solved. Essentially, an image registrationalgorithm may compute a transformation between two adjacent images thatwill minimize the distances between points on one surface, and theclosest points to them found in the interpolated region on the otherimage surface used as a reference. Each transformation may includerotations about one to three axes and translations within one to threeplanes.

In some instances, a received image may not be registerable with anyother image from a current scan session. In traditional systems suchimages would be discarded, and a user would be asked to rescan one ormore areas. Embodiments of the present invention enable such images thatdo not register to other images from a scan session by comparing andregistering such images to a historical template that has been generatedfrom scan data collected in a previous scan session.

Historical template module 112 is responsible for determining thathistorical scans exist for a particular patient and registering imagesof a current scan session to a historical template based on overlappingdata from the images and the historical scan data. The past historicaltemplates may be or include X-rays, 2D intraoral images, 3D intraoralimages, 2D models, and/or virtual 3D models of the patient correspondingto past visits of the patient and/or to dental records of the patient.The past historical templates are included in reference data 138 for thepatient.

In one embodiment, historical template module 112 may receive anindication from computing device 105 that a current image of anintraoral scan session cannot or should not be registered to any otherimages of the current session. Registering may be improper when thecurrent image does not adequately overlap any other existing image ofthe current scan. In this example, historical template module 112 maydetermine that the images of the current scan are related to historicalimage data for the same patient. Historical image data may includehistorical templates for the patient; each template relating to aprevious image scan session for the patient. In one example, a patientmay have undergone an intraoral scan once a month for the last 12months, in which case 12 historical templates for the patient would beavailable. Historical template module 112 may determine that the imagesof the current scan are associated with the historical templates and mapthe current images of the current scan session to one of the historicaltemplates (e.g., the most recent template). In another embodiment, auser may select a historical template to which the current scan sessionimages should map.

AOI identifying module 115 is responsible for identifying areas ofinterest (AOIs) from intraoral scan data (e.g., intraoral images) and/orvirtual 3D models generated from intraoral scan data. In one embodiment,areas of interest are determined by comparing images of a current scansession to a historical template to determine any differences. Suchareas of interest may include voids (e.g., areas for which scan data ismissing), areas of conflict or flawed scan data (e.g., areas for whichoverlapping surfaces of multiple intraoral images fail to match), areasindicative of foreign objects (e.g., studs, bridges, etc.), areasindicative of tooth wear, areas indicative of tooth decay, areasindicative of receding gums, unclear gum line, unclear patient bite,unclear margin line (e.g., margin line of one or more preparationteeth), and so forth. An identified void may be a void in a surface ofan image. Examples of surface conflict include double incisor edgeand/or other physiologically unlikely tooth edge, and/or bite lineshift. The AOI identifying module 115 may, in identifying an AOI,analyze patient image data 135 including historical templates (e.g.,historical 3D image point clouds) and/or one or more virtual 3D modelsof the patient alone and/or relative to reference data 138. The analysismay involve direct analysis (e.g., pixel-based and/or other point-basedanalysis), the application of machine learning, and/or the applicationof image recognition. AOI identifying module 115 may additionally oralternatively analyze patient scan data relative to reference data inthe form of dental record data of the patient and/or data of the patientfrom prior to the patient visit (e.g., historical templates includingone or more prior-to-the-visit 3D image point clouds and/or one or moreprior-to-the-visit virtual 3D models of the patient).

In an example, AOI identifying module 115 may generate a firsthistorical template of a dental site based on a first scan session ofthe dental site taken at a first time and later generate a secondvirtual model of the dental site based on a second scan session of thedental site taken at a second time. The AOI identifying module 115 maythen compare the first historical template to the second virtual modelto determine a change in the dental site and identify an AOI torepresent the change.

Identifying of areas of interest concerning missing and/or flawed scandata may involve the AOI identifying module 115 performing directanalysis, for instance determining one or more pixels or other points tobe missing from patient scan data and/or one or more virtual 3D modelsof the patient. Flagging module 118 is responsible for determining howto present and/or call out the identified areas of interest. Flaggingmodule 118 may provide indications or indicators regarding scanassistance, diagnostic assistance, and/or foreign object recognitionassistance. Areas of interest may be determined, and indicators of theareas of interest may be provided, during and/or after an intraoral scansession. Such indications may be provided prior to and/or withoutconstruction of an intraoral virtual 3D model. Alternatively,indications may be provided after constructions of an intraoral virtual3D model of a dental site.

Examples of the flagging module 118 providing indications regarding scanassistance, diagnostic assistance, and/or foreign object recognitionassistance will now be discussed. The flagging module 118 may providethe indications during and/or after an intraoral scan session. Theindications may be presented (e.g., via a user interface) to a user(e.g., a practitioner) in connection with and/or apart from one or moredepictions of teeth and/or gingivae of a patient (e.g., in connectionwith one or more X-rays, 2D intraoral images, 3D intraoral images, 2Dmodels, and/or virtual 3D models of the patient). Indicationpresentation in connection with depictions of patient teeth and/orgingivae may involve the indications being placed so as to correlate anindication with the corresponding portion of the teeth and/or gingivae.As an illustration, a diagnostic assistance indication regarding abroken tooth might be placed so as to identify the broken tooth.

The indications may be provided in the form of flags, markings,contours, text, images, and/or sounds (e.g., in the form of speech).Such a contour may be placed (e.g., via contour fitting) so as to followan extant tooth contour and/or gingival contour. As an illustration, acontour corresponding to a tooth wear diagnostic assistance indicationmay be placed so as to follow a contour of the worn tooth. Such acontour may be placed (e.g., via contour extrapolation) with respect toa missing tooth contour and/or gingival contour so as to follow aprojected path of the missing contour. As an illustration, a contourcorresponding to missing tooth scan data may be placed so as to followthe projected path of the tooth portion which is missing, or a contourcorresponding to missing gingival scan data may be placed so as tofollow the projected path of the gingival portion which is missing.

In presenting indications (e.g., flags), the flagging module 118 mayperform one or more operations to pursue proper indication display. Forinstance, where indications are displayed in connection with one or moredepictions of teeth and/or gingivae (e.g., a corresponding virtual 3Dmodel), such operations may act to display a single indication ratherthan, say, multiple indications for a single AOI. Additionally,processing logic may select a location in 3D space for indicationplacement.

Where indications are displayed in connection with a 3D teeth and/orgingiva depiction (e.g., in connection with a virtual 3D model), theflagging module 118 may divide the 3D space into cubes (e.g., voxelscorresponding to one or more pixels of the 3D space). The flaggingmodule 118 may then consider the voxels relative to the voxels ofdetermined AOIs and tag voxels so as to indicate the indications (e.g.,flags) to which they correspond.

Where more than one cube is tagged with respect to a given one of theindications, the flagging module 118 may act such that only one of thetagged voxel receives flag placement. Moreover, the flagging module 118may choose a particular voxel which it determines will provide for easeof viewing by the user. For instance, such choice of a voxel may takeinto account the totality of indications to be flagged and may endeavorto avoid crowding a single cube with multiple flags where such can beavoided.

In placing indications (e.g., flags) the flagging module 118 may or maynot take into account factors other than seeking to avoid crowding. Forinstance, the flagging module 118 may take into account availablelighting, available angle, available zoom, available axes of rotation,and/or other factors corresponding to user viewing of the teeth and/orgingiva depiction (e.g., the virtual 3D model), and may seek indication(e.g., flag) placement which seeks to optimize user viewing in view ofthese factors).

The flagging module 118 may key the indications (e.g., via color,symbol, icon, size, text, and/or number). The keying of an indicationmay serve to convey information about that indication. The conveyedinformation may include classification of an AOI, a size of an AOIand/or an importance rank of an AOI. Accordingly, different flags orindicators may be used to identify different types of AOIs. For example,pink indicators may be used to indicate gingival recession and whiteindicators may be used to indicate tooth wear. Flagging module 118 maydetermine a classification, size and/or importance rank of an AOI, andmay then determine a color, symbol, icon, text, etc. for an indicator ofthat AOI based on the classification, size and/or importance rank.

Turning to keying which conveys AOI classification, indicators mayidentify classifications assigned to intraoral areas of interest. Forexamples, AOIs may be classified as voids, changes, conflicts, foreignobjects, or other types of AOI. AOIs representing changes in patientdentition may represent tooth decay, receding gums, tooth wear, a brokentooth, gum disease, gum color, moles, lesions, tooth shade, tooth color,an improvement in orthodontic alignment, degradation in orthodonticalignment, and so on. Different criteria may be used for identifyingeach such class of AOI. For example, a void may be identified by lack ofimage data, a conflict may be identified by conflicting surfaces inimage data, changes may be identified based on differences in imagedata, and so on.

When a scan session is in progress or when the scan is complete (e.g.,all images for a dental site have been captured), model generationmodule 125 may generate a virtual 3D model of the scanned dental site.During a scan session, model generation module 125 may use the imageregistration data output by image registration module 111 to generate athree dimensional representation of the dental site. The threedimensional representation may additionally include image registrationdata output by historical template module 112 (e.g., registration ofcurrent images to a historical template). AOI identifying module 115and/or flagging module 118 may perform operations to identify AOIsand/or to indicate such AOIs in the three dimensional representation.

Model generation module 125 may integrate all images into a singlevirtual 3D model by applying the appropriate determined transformationsto each of the images. In one embodiment, model generation module 125may determine that a historical template associated with the currentscan session includes areas not yet scanned in a current scan session.In such a case, model generation module 125 may use data from thehistorical template to supplement the data of the current scan. Forexample, if there are any regions that have not yet been scanned in acurrent scan session, a data from a historical template may be used tofill in the missing regions. In one embodiment, the data from thehistorical template is shown using a different visualization than thedata from the images received during the current scan session. Forexample, surfaces associated with images from the current scan sessionmay be shown as solid objects, and surfaces associated with thehistorical template may be shown as translucent objects a pixelatedobjects.

FIG. 2A illustrates a flow diagram for a first method 200 of referencinga historical scan during an intraoral scan session, in accordance withembodiments of the present invention. This method may be performed byprocessing logic that comprises hardware (e.g., circuitry, dedicatedlogic, programmable logic, microcode, etc.), software (such asinstructions run on a processing device), or a combination thereof. Inone embodiment, processing logic corresponds to computing device 105 ofFIG. 1 (e.g., to a computing device 105 executing an intraoral scanapplication 108).

At block 202 of method 200, an intraoral scan session of a dental siteis started by a dental practitioner. The scan session may be for anintraoral scan of a partial or full mandibular or maxillary arch, or apartial or full scan of both arches. The dental practitioner may move anintraoral scanner to a first intraoral position and generate a firstintraoral image. At block 204, processing logic receives a plurality ofintraoral images. The intraoral images may be discrete images (e.g.,taken from a point-and-shoot mode) or frames of an intraoral video(e.g., taken in a continuous scanning or video mode). The intraoralimages may be three dimensional (3D) images having a particular height,width and depth.

At block 206, processing logic determines that one or more of theintraoral images of the current scan session does not register to anyalready existing images associated with the current scan session. In oneembodiment, images of the scan session may not register to existingimages when they do not sufficiency overlap each other. Images do notsufficiently overlap each other when there is insufficient overlappingdata between the two images to be able to determine that a portion ofthe first image is of the same object (e.g., region of a dental site) asa portion of the second image. When images do not sufficiently overlapeach other, registration may be less accurate or may not be possible.Images may be registered when a sufficient area and/or number of pointswithin each image may be mapped to an adjacent image. In one embodiment,images whose overlapping area and/or number of overlapping points do notmeet a predetermined threshold may not be registered.

In one embodiment, when an intraoral image of a current scan session isnot registered to any other image of the current scan session,processing logic at block 208 may determine that the images of thecurrent scan session are associated with an existing historicaltemplate. The historical template may be a three dimensional virtualmodel of a dental site as generated from images taken during a previousscan session. The historical template may have been generated afterstitching together the images taken during the previous scan session.Alternatively, processing logic may determine that scan data exists fromprevious scan sessions, but no historical template may have beengenerated. In such an instance, processing logic may generate ahistorical template from the previous scan data. In one embodiment,processing logic may search a database to identify historical templatesassociated with images of the current scan session or with the currentpatient. Current session images may be compared to previously capturedimages to determine whether they are associated. In another embodiment,scan sessions are associated by virtue of the fact that they areassociated with the same patient in a database. A user may also manuallyidentify stored historical templates for a patient and associate themwith the current scan session.

At block 210, processing logic may determine the position of the firstimage of the current scan session with respect to the historicaltemplate and register the image to the template. In one embodiment, theremaining images of the current scan session at a second region of thedental site may be registered to the historical template at a firstregion of the dental site (see block 212). In one embodiment, images areregistered to the historical template using a first set of criteria,whereas images are registered to each other using a second set ofcriteria. In one embodiment, the first set of criteria is lessrestrictive than the second set. In one embodiment, images may beregistered to a historical template under the less restrictive criteriawhen they may not be registered to other images under the strictercriteria.

Accordingly, image data from the historical template may be provided toa user with associated images from the current scan session overlaid inposition over the historical template. Alternatively, the historicaltemplate may not be provided to a user and the images of the currentscan session are provided to the user placed on an invisible historicaltemplate. Images of the current scan session that are not registered toother images of the current scan session may still be registered to thehistorical template. Unregistered images of the current scan session,despite not having sufficient overlap to register to current scansession images, may have sufficient overlap with areas of the historicaltemplate to allow placement onto the historical template. Determiningproper placement of an unregistered image based on the historicaltemplate allows unregistered images to be registered to other images ofa current scan session, despite insufficient overlap with those images.In one embodiment, processing logic may utilize the same techniquesdiscussed above with respect to registering images to determineplacement of an image with respect to a historical template.

In one embodiment, processing logic may generate a three dimensionalvirtual model of the dental site from the intraoral images. Processinglogic may determine that a portion of the intraoral images representssoft tissue (e.g., gums) based at least in part on a difference betweena previous depiction of the dental site as represented in the historicaltemplate and a current depiction of the dental site as represented inthe intraoral images. The portion of the intraoral images determined torepresent the soft tissue may be removed from the three dimensionalvirtual model of the dental site.

In another embodiment, processing logic of method 200 may identify arestorative area of the dental site represented in the plurality ofintraoral images. The restorative area may include a stump (e.g., apreparation) of a tooth. Processing logic may also determine a baselinearea that represents a surface of the tooth before the tooth was groundinto the stump based on the historical template and provide the baselinearea to be displayed in a graphical user interface.

FIG. 2B illustrates a flow diagram for a second method 220 ofreferencing a historical scan during an intraoral scan session, inaccordance with embodiments of the present invention. This method may beperformed by processing logic that comprises hardware (e.g., circuitry,dedicated logic, programmable logic, microcode, etc.), software (such asinstructions run on a processing device), or a combination thereof. Thefirst method 200 and second method 220 may be performed together orseparately in embodiments. In one embodiment, processing logiccorresponds to computing device 105 of FIG. 1 (e.g., to a computingdevice 105 executing an intraoral scan application 108).

At block 222 of method 220, processing logic receives a plurality ofintraoral images during a intraoral scan session. The intraoral imagesmay be discrete images (e.g., taken from a point-and-shoot mode) orframes of an intraoral video (e.g., taken in a continuous scanning orvideo mode). The intraoral images may be three dimensional (3D) imageshaving a particular height, width and depth.

At block 224, processing logic determines that one or more of theintraoral images of the current scan session does not register to anyalready existing images associated with the current scan session. In oneembodiment, images of the scan session may not register to existingimages when they do not sufficiency overlap each other. Images do notsufficiently overlap each other when there is insufficient overlappingdata between the two images to be able to determine that a portion ofthe first image is of the same object (e.g., region of a dental site) asa portion of the second image. When images do not sufficiently overlapeach other, registration may be less accurate or may not be possible.Images may be registered when a sufficient area and/or number of pointswithin each image may be mapped to an adjacent image. In one embodiment,images whose overlapping area and/or number of overlapping points do notmeet a predetermined threshold may not be registered.

In one embodiment, when an intraoral image of a current scan session isnot registered to any other image of the current scan session,processing logic at block 226 may determine that the images of thecurrent scan session are associated with an existing historicaltemplate. The historical template may be a three dimensional virtualmodel of a dental site as generated from images taken during a previousscan session. The historical template may have been generated afterstitching together the images taken during the previous scan session.Alternatively, processing logic may determine that scan data exists fromprevious scan sessions, but no historical template may have beengenerated. In such an instance, processing logic may generate ahistorical template from the previous scan data. In one embodiment,processing logic may search a database to identify historical templatesassociated with images of the current scan session or with the currentpatient. Current session images may be compared to previously capturedimages to determine whether they are associated. In another embodiment,scan sessions are associated by virtue of the fact that they areassociated with the same patient in a database. A user may also manuallyidentify stored historical templates for a patient and associate themwith the current scan session.

At block 228, processing logic may determine the position of the firstimage of the current scan session with respect to the historicaltemplate and register the image to the template. In one embodiment, theremaining images of the current scan session at a second region of thedental site may be registered to the historical template at a firstregion of the dental site.

At block 230, processing logic may display the registered firstintraoral image at the first region on the historical template. Inanother embodiment, processing logic may display additional images on asecond region of the historical template. Accordingly, image data fromthe historical template may be provided to a user with associated imagesfrom the current scan session overlaid in position over the historicaltemplate. Alternatively, the historical template may not be provided toa user and the images of the current scan session are provided to theuser placed on an invisible historical template. Images of the currentscan session that are not registered to other images of the current scansession may still be registered to the historical template. Unregisteredimages of the current scan session, despite not having sufficientoverlap to register to current scan session images, may have sufficientoverlap with areas of the historical template to allow placement ontothe historical template. Determining proper placement of an unregisteredimage based on the historical template allows unregistered images to beregistered to other images of a current scan session, despiteinsufficient overlap with those images. In one embodiment, processinglogic may utilize the same techniques discussed above with respect toregistering images to determine placement of an image with respect to ahistorical template.

In one embodiment, processing logic may generate a three dimensionalvirtual model of the dental site from the intraoral images. Processinglogic may determine that a portion of the intraoral images representssoft tissue (e.g., gums) based at least in part on a difference betweena previous depiction of the dental site as represented in the historicaltemplate and a current depiction of the dental site as represented inthe intraoral images. The portion of the intraoral images determined torepresent the soft tissue may be removed from the three dimensionalvirtual model of the dental site.

In another embodiment, processing logic of method 220 may identify arestorative area of the dental site represented in the plurality ofintraoral images. The restorative area may include a stump (e.g., apreparation) of a tooth. Processing logic may also determine a baselinearea that represents a surface of the tooth before the tooth was groundinto the stump based on the historical template and provide the baselinearea to be displayed in a graphical user interface.

FIG. 3A illustrates a flow diagram for a method 300 of generating asurface of a dental site during an intraoral scan session, in accordancewith embodiments of the present invention. This method may be performedby processing logic that comprises hardware (e.g., circuitry, dedicatedlogic, programmable logic, microcode, etc.), software (such asinstructions run on a processing device), or a combination thereof. Inone embodiment, processing logic corresponds to computing device 105 ofFIG. 1 (e.g., to a computing device 105 executing an intraoral scanapplication 108). In one embodiment, method 300 continues from block 212of method 200.

At block 302 of method 300, processing logic may determine a firstsurface represented by a first intraoral image and a second surfacerepresented by a second intraoral image. The first surface may beassociated with a first region of a dental site and the second surfacemay be associated with a second region of the dental site that isseparated from the first surface of the dental site. At block 303,processing logic may determine a third surface and/or additionalsurfaces at additional regions of the dental site based on a historicaltemplate. The third region may separate the first region and the secondregion.

At block 304, processing logic generates a pictorial representation ofthe dental site that includes the first surface and the second surface.In one embodiment, the pictorial representation may include atransformed representation of the first intraoral image (e.g., that hasbeen rotated, translated and/or scaled) at the first region (determinedin block 206 of FIG. 2A) and transformed representations of theremaining intraoral images in the second region (see block 212). Thetransformed first intraoral image may define a first surface of thedental site and the transformed remaining intraoral images may define asecond surface of the dental site. The pictorial representation mayoptionally also include the third surface and/or any additional surfacesgenerated from the historical template. At block 306, processing logicmay display the pictorial representation in a graphical user interface(GUI) or may output the pictorial representation for display on a GUI.

One or more additional images including the third region may be receivedby processing logic and registered to the first intraoral image of thefirst region and one or more of the remaining intraoral images of thesecond region. The one or more additional images may then be used toredraw the third surface based on current patient data.

FIG. 3B illustrates a flow diagram for a method 310 of determining achange to a dental site between a current intraoral scan session and apast intraoral scan session, in accordance with embodiments of thepresent invention. This method may be performed by processing logic thatcomprises hardware (e.g., circuitry, dedicated logic, programmablelogic, microcode, etc.), software (such as instructions run on aprocessing device), or a combination thereof. In one embodiment,processing logic corresponds to computing device 105 of FIG. 1 (e.g., toa computing device 105 executing an intraoral scan application 108).

At block 315 of method 310, processing logic may generate a virtual 3Dmodel of a dental site from images taken during a current scan session.The virtual 3D model may be generated by registering and stitchingtogether the images. At block 320, processing logic compares the virtual3D model to a historical template generated from images associated witha previous scan of the dental site at an earlier time. The historicaltemplate may be another virtual 3D model of the dental site that wasgenerated from images taken during a previous scan session. For example,a dental practitioner may perform scans of a patient's dentition on anannual basis. Processing logic may compare the current state of thepatient's dental site to the state of the patient's dental site that isa year old. In additional embodiments, multiple historical templates maybe available for a patient, which may be based on images taken atdifferent time periods. A dental practitioner may select whichhistorical template to compare the virtual 3D model to.

At block 325, processing logic determines a difference between aprevious depiction of the dental site as represented it the historicaltemplate and a current depiction of the dental site as represented inthe virtual 3D model generated from the plurality of intraoral images ofthe current scan.

To compare a virtual 3D model of a current scan session to a historicaltemplate and determine differences there between, processing logicdetermines an alignment between the virtual 3D model (or images used togenerate the virtual 3D model) and the historical template based ongeometric features shared by the virtual 3D model and the historicaltemplate. This comparison may identify areas of interest such as toothwear, cavities, and so forth.

At block 330, processing logic provides graphical representation of thedifference between the current depiction of the dental site and theprevious depiction of the dental site as represented in the historicaltemplate. In one embodiment, processing logic compares the virtual 3Dmodel to multiple historical templates, and may additionally compare thehistorical templates to one another. Processing logic may then generatea moving image (e.g., a video) showing a change to the dental site overtime. For example, a time lapse video may be generated that showsgradual wearing of a patient's teeth, yellowing of the teeth, recedinggum lines, and so on.

The differences between the current and previous depiction of the dentalsite may be identified as one type of area of interest. In otherembodiments, other types of areas of interest may be provided. Forexample, the provided area of interest may include a region of thedental site that is represented in the historical template but notrepresented in the intraoral images of the current scan. In oneembodiment, processing logic interpolates a shape for the intraoral areaof interest based on geometric features surrounding the intraoral areaof interest and/or based on geometric features of the intraoral area ofinterest (if such features exist). For example, if the intraoral area ofinterest is a void, then the regions around the void may be used tointerpolate a surface shape of the void. The shape of the intraoral areaof interest may be displayed in manner to contrast the intraoral area ofinterest from surrounding imagery. For example, teeth may be shown inwhite, while the intraoral area of interest may be shown in red, black,blue, green, or another color. Additionally or alternatively, anindicator such as a flag may be used as an indication of the intraoralarea of interest. The indicator may be remote from the intraoral area ofinterest but include a pointer to the intraoral area of interest. Theintraoral area of interest may be hidden or occluded in many views ofthe dental site. However, the indicator may be visible in all or manysuch views. For example, the indicator may be visible in all views ofthe scanned dental site unless the indicator is disabled. The providedindications of the intraoral areas of interest may be displayed whilethe intraoral scan session is ongoing.

FIG. 4 illustrates a flow diagram for another method 400 of referencinga historical scan during an intraoral scan session, in accordance withembodiments of the present invention. This method may be performed byprocessing logic that comprises hardware (e.g., circuitry, dedicatedlogic, programmable logic, microcode, etc.), software (such asinstructions run on a processing device), or a combination thereof. Inone embodiment, processing logic corresponds to computing device 105 ofFIG. 1 (e.g., to a computing device 105 executing an intraoral scanapplication 108).

At block 402 of method 400, processing logic receives one or more imagesof a dental site. Processing logic may perform image registration tostitch these images together if multiple images are received. As theimages are stitched together, a virtual 3D model of the dental site thatincludes the stitched together images may be generated and displayed.

At block 404, processing logic receives a new image of the dental site.At block 406, processing logic compares the new image to some or all ofthe previous images. At block 408, processing logic determines whetherthe new image can be registered to any of the previous images. The newimage can be registered to a previous image if first registrationcriteria are satisfied. The first registration criteria may include athreshold number of curves, edges, point and/or other features of thenew image that match curves, edges, points and/or other features of aprevious image. A match for a feature may be determined when the featureof the new image deviates from the feature of the previous image by lessthan a deviation threshold, such as 10%. Collectively, the number ofmatching features and the degree of match may be referred to herein asan amount of overlap. Accordingly, images may be registerable if theamount of overlap between those two images satisfies an overlapthreshold. If there are an insufficient number of features in the newimage that match features of any previous image (amount of overlap isless than an overlap threshold), then registration cannot be performedand the method proceeds to block 412. If there are a sufficient numberof features in the new image that match features of at least oneprevious image (amount of overlap meets or exceeds the overlapthreshold), then the method continues to block 410.

At block 410, processing logic registers the new image to one or more ofthe previous images using the first registration criteria. Processinglogic may then update the 3D model of the dental site to include the newimage stitched to the previous images and display the updated 3D model.

At block 412, processing logic registers the new image to a historicaltemplate using second image registration criteria. At block 412processing logic may also register the previous images to the historicaltemplate if the previous images have not already been registered to thehistorical template. The historical template may be a virtual 3D modelof the patient's dental site that was generated based on images taken ata previous time. The second registration criteria may be lessrestrictive than the first registration criteria. For example, apatient's dental site may change over time. Teeth may become slightlyworn and change shape, teeth may move slightly, and so forth.Accordingly, images of the same tooth may not match perfectly. Toaccount for these changes over time and still enable a current image toregister to images and/or a virtual model generated from images taken ata previous time, the registration criteria are relaxed. The relaxedregistration criteria may include a reduction in the threshold number offeatures that are specified to register two images and/or an increase inthe amount of deviation that is permitted for recognition of a matchbetween two features.

Registration of the new image and the previous images to the historicaltemplate enables processing logic to determine the regions of the dentalsite represented by the new image and the previous images. Accordingly,once the new image and the previous images have been registered, therelative positions of the new image and the previous images can bedetermined. Processing logic may update the 3D model of the dental sitebased on the registration to the historical template. As a result, the3D model may show a first region of the dental site represented by theprevious images that have been stitched together and may show a secondregion of the dental site represented by the new image. There may be asmall or large separation between the first region and the secondregion. For regions of the dental site for which image data has not yetbeen collected in the current scan session, processing logic may show anoutline of these regions based on data from the historical template.

At block 418, processing logic determines whether the current scansession is complete. If the scan session is not complete, the methodreturns to block 404 and another new image of the dental site isreceived. As new images are received, these new images may be registeredto the previous images and/or to the historical template. Eventually,enough images should be generated such that all images can register toone or more other images from the current scan session. If at block 420the scan is complete, the method continues to block 420.

At block 420, processing logic may refine the image registration betweenthe images from the scan session. The 3D model that is generated duringthe scan session may be a rough model. Once the scan session iscomplete, a more rigorous image registration process may be performed togenerate a much more accurate 3D virtual model of the dental site. Themore rigorous image registration process may use more processingresources and take more time to generate than the 3D model generatedduring the scan session.

FIG. 5 illustrates a pictorial representation (e.g., a 3D virtual model500) of a dental site that includes image data from a current scan andimage data from a historical template, in accordance with embodiments ofthe present invention. In one embodiment, the 3D virtual model 500includes surfaces 502-506 based on images of a current scan that areoverlaid onto corresponding positions of an associated historicaltemplate 508. The surfaces 502-506 may be shown as solid surfaces.

Each of the surfaces 502-506 may be based on a single image from thecurrent scan or based on multiple images from the current scan that havebeen stitched together. The images associated with surface 502 could notbe appropriately registered to any of the images associated with surface505 or surface 506 due to insufficient overlap of area between theimages. Similarly, the images associated with surface 505 could not beappropriately registered to any of the images associated with surface506 due to insufficient overlap of area between the images. However, theimages associated with surfaces 502-506 may still be registered to thehistorical template 508. This may enable all of the images from thecurrent scan session to be used rather than discarded. Additionally, byregistering the images to the historical template, the 3D virtual model500 may be generated that shows regions of a patient's dental site forwhich additional images should be generated.

In one embodiment, the regions of the dental site for which current scandata is not yet available are shown based on data from the historicaltemplate. A surface of such regions may be represented by a 3D pointcloud, or may be represented as an outline or translucent surface ratherthan a solid surface. In one embodiment, the virtual 3D model thatincludes data from the historical template 508 is provided to a userwith surfaces 502-506 overlaid on the historical template 508. Surfaces502-506 may be displayed in color or filled-in (in non-3D point cloudform) so as to differentiate surfaces 502-506 based on the actualscanned images from the surfaces based on underlying historical template508. Surfaces 502-506 based on intraoral images may be displayed on thehistorical template 508 in real-time, as they are being recorded. Inanother embodiment, data from historical template 508 is not providedfor display, but surfaces 502-506 based on intraoral images are providedfor display in their proper place, based on registration to thehistorical template 508. Surfaces 502-506 may be displayed in theirproper places in real-time, without providing the 3D point cloudhistorical template 508 for display.

In one embodiment, restorative models may be based on historicaltemplate 508. For example, if a dental practitioner is designing a newcrown for an affected area of a patient's intraoral cavity, historicaltemplates, such as template 508, may be provided to the practitionerfrom a time in which the affected area was healthy. An area of thehistorical template may be selected as a restorative model for thecrown. The model may be further adjusted, as necessary, to compete thedesign of the crown.

In other embodiments, when a user finalizes a scan without scanning anarea that was previously scanned and present in a historical template508, the missing area may be filled in by the corresponding data fromthe historical template 508. This may be represented by an area changingfrom display of the historical template's 3D point cloud to display ofthe same area being filled in (e.g., similar to surfaces 502-506). Inone embodiment, the missing area may be filled in based on trendsassociated with more than one historical template. For example, if threehistorical templates exist, and each template shows a 1 mm shift in theteeth associated with an area missing from the current scan betweenscans, the area may be provided with an additional 1 mm shift in theteeth associated with the area.

FIG. 6 illustrates a diagrammatic representation of a machine in theexample form of a computing device 600 within which a set ofinstructions, for causing the machine to perform any one or more of themethodologies discussed herein, may be executed. In alternativeembodiments, the machine may be connected (e.g., networked) to othermachines in a Local Area Network (LAN), an intranet, an extranet, or theInternet. The machine may operate in the capacity of a server or aclient machine in a client-server network environment, or as a peermachine in a peer-to-peer (or distributed) network environment. Themachine may be a personal computer (PC), a tablet computer, a set-topbox (STB), a Personal Digital Assistant (PDA), a cellular telephone, aweb appliance, a server, a network router, switch or bridge, or anymachine capable of executing a set of instructions (sequential orotherwise) that specify actions to be taken by that machine. Further,while only a single machine is illustrated, the term “machine” shallalso be taken to include any collection of machines (e.g., computers)that individually or jointly execute a set (or multiple sets) ofinstructions to perform any one or more of the methodologies discussedherein.

The example computing device 600 includes a processing device 602, amain memory 604 (e.g., read-only memory (ROM), flash memory, dynamicrandom access memory (DRAM) such as synchronous DRAM (SDRAM), etc.), astatic memory 606 (e.g., flash memory, static random access memory(SRAM), etc.), and a secondary memory (e.g., a data storage device 628),which communicate with each other via a bus 608.

Processing device 602 represents one or more general-purpose processorssuch as a microprocessor, central processing unit, or the like. Moreparticularly, the processing device 602 may be a complex instruction setcomputing (CISC) microprocessor, reduced instruction set computing(RISC) microprocessor, very long instruction word (VLIW) microprocessor,processor implementing other instruction sets, or processorsimplementing a combination of instruction sets. Processing device 602may also be one or more special-purpose processing devices such as anapplication specific integrated circuit (ASIC), a field programmablegate array (FPGA), a digital signal processor (DSP), network processor,or the like. Processing device 602 is configured to execute theprocessing logic (instructions 626) for performing operations and stepsdiscussed herein.

The computing device 600 may further include a network interface device622 for communicating with a network 664. The computing device 600 alsomay include a video display unit 610 (e.g., a liquid crystal display(LCD) or a cathode ray tube (CRT)), an alphanumeric input device 612(e.g., a keyboard), a cursor control device 614 (e.g., a mouse), and asignal generation device 620 (e.g., a speaker).

The data storage device 628 may include a machine-readable storagemedium (or more specifically a non-transitory computer-readable storagemedium) 624 on which is stored one or more sets of instructions 626embodying any one or more of the methodologies or functions describedherein. A non-transitory storage medium refers to a storage medium otherthan a carrier wave. The instructions 626 may also reside, completely orat least partially, within the main memory 604 and/or within theprocessing device 602 during execution thereof by the computer device600, the main memory 604 and the processing device 602 also constitutingcomputer-readable storage media.

The computer-readable storage medium 624 may also be used to store anintraoral scan application 650, which may correspond to the similarlynamed component of FIG. 1. The computer readable storage medium 624 mayalso store a software library containing methods for an intraoral scanapplication 650. While the computer-readable storage medium 624 is shownin an example embodiment to be a single medium, the term“computer-readable storage medium” should be taken to include a singlemedium or multiple media (e.g., a centralized or distributed database,and/or associated caches and servers) that store the one or more sets ofinstructions. The term “computer-readable storage medium” shall also betaken to include any medium other than a carrier wave that is capable ofstoring or encoding a set of instructions for execution by the machineand that cause the machine to perform any one or more of themethodologies of the present invention. The term “computer-readablestorage medium” shall accordingly be taken to include, but not belimited to, solid-state memories, and optical and magnetic media.

It is to be understood that the above description is intended to beillustrative, and not restrictive. Many other embodiments will beapparent upon reading and understanding the above description. Althoughembodiments of the present invention have been described with referenceto specific example embodiments, it will be recognized that theinvention is not limited to the embodiments described, but can bepracticed with modification and alteration within the spirit and scopeof the appended claims. Accordingly, the specification and drawings areto be regarded in an illustrative sense rather than a restrictive sense.The scope of the invention should, therefore, be determined withreference to the appended claims, along with the full scope ofequivalents to which such claims are entitled.

What is claimed is:
 1. A method comprising: receiving, by a processingdevice, a plurality of intraoral images of a dental site during anintraoral scan session; determining, by the processing device, that ahistorical template of the dental site is existent; registering, byprocessing device, a first intraoral image of the plurality of intraoralimages to the historical template at a first region of the dental sitedepicted in the historical template; and displaying, by the processingdevice, the registered first intraoral image at the first region on thehistorical template.
 2. The method of claim 1, further comprising:registering one or more remaining intraoral images of the plurality ofintraoral images at a second region of the dental site depicted in thehistorical template.
 3. The method of claim 2, further comprising:displaying the one or more remaining intraoral images at the secondregion on the historical template.
 4. A method comprising: receiving, bya processing device, a plurality of intraoral images of a dental siteduring an intraoral scan session; determining, by the processing device,that a historical template of the dental site is existent; registering,the by processing device, a first intraoral image of the plurality ofintraoral images to the historical template at a first region of thedental site depicted in the historical template; and registering, by theprocessing device, one or more remaining intraoral images of theplurality of intraoral images to the historical template at a secondregion of the dental site depicted in the historical template.
 5. Themethod of claim 4, further comprising: generating, by the processingdevice during the intraoral scan session, a representation of the dentalsite comprising the first intraoral image at the first region and theremaining intraoral images at the second region, wherein therepresentation is to be displayed on a graphical user interface (GUI).6. The method of claim 5, wherein the first intraoral image defines afirst surface of the dental site at the first region and the one or moreremaining intraoral images define a second surface of the dental site atthe second region, the method further comprising: determining a thirdsurface of the dental site at a third region based on the historicaltemplate, wherein the third region is between the first region and thesecond region; and including the third surface in the image.
 7. Themethod of claim 4, further comprising: determining an intraoral area ofinterest based on the plurality of intraoral images and the historicaltemplate, wherein the intraoral area of interest comprises a thirdregion of the dental site that is represented in the historical templatebut is not represented in the plurality of intraoral images; andproviding an indication of the intraoral area of interest.
 8. The methodof claim 4, further comprising: comparing the plurality of intraoralimages to the historical template; determining a difference between aprevious depiction of the dental site as represented in the historicaltemplate and a current depiction of the dental site as represented inthe plurality of intraoral images; and generating a graphicalrepresentation of the difference between the previous depiction of thedental site and the current depiction of the dental site.
 9. The methodof claim 4, further comprising: determining that the first intraoralimage does not register to the one or more remaining intraoral images;and responsive to determining that the first intraoral image does notregister to the one or more remaining intraoral images, registering thefirst intraoral image to the historical template at the first region ofthe dental site and registering the one or more remaining intraoralimages to the historical template at the second region of the dentalsite, wherein the first region is separated from the second region. 10.The method of claim 9, wherein determining that the first intraoralimage does not register to the remaining intraoral images comprises:determining an overlapping area between the first intraoral image and asecond intraoral image of the remaining intraoral images; anddetermining that the overlapping area is less than a minimum overlappingarea threshold.
 11. The method of claim 4, further comprising:identifying a restorative area of the dental site represented in theplurality of intraoral images, wherein the restorative area comprises astump of a tooth; determining a baseline area associated with therestorative area based on the historical template, wherein the baselinearea represents a surface of the tooth before the tooth was ground intothe stump; and providing the baseline area to be displayed in agraphical user interface.
 12. The method of claim 4, further comprising:receiving an additional intraoral image during the intraoral scansession; determining that the additional intraoral image is for a thirdregion of the dental site between the first region and the secondregion; registering the additional intraoral image to the firstintraoral image; and registering the additional intraoral image to atleast one intraoral image of the remaining intraoral images.
 13. Themethod of claim 4, further comprising: performing registration betweenthe one or more remaining intraoral images using first registrationcriteria, wherein second registration criteria are used for registeringthe first intraoral image to the historical template, wherein the secondregistration criteria are less restrictive than the first registrationcriteria.
 14. The method of claim 4, further comprising: generating athree dimensional virtual model of the dental site from the plurality ofintraoral images; determining that a portion of the plurality ofintraoral images represents soft tissue based at least in part on adifference between a previous depiction of the dental site asrepresented in the historical template and a current depiction of thedental site as represented in the plurality of intraoral images; andremoving the portion of the plurality of intraoral images thatrepresents the soft tissue from the three dimensional virtual model ofthe dental site.
 15. A system, comprising: a memory to store a pluralityof intraoral images of a dental site and a historical template of thedental site; and a processing device, operatively coupled to the memory,the processing device to: receive the plurality of intraoral images ofthe dental site during an intraoral scan session; determine that a firstintraoral image of the plurality of intraoral images does not registerto any remaining intraoral image of the plurality of intraoral images;determine that the historical template of the dental site is existent;registering, the first intraoral image to the historical template at afirst region of the dental site depicted in the historical template; andregister remaining intraoral images of the plurality of intraoral imagesto the historical template at a second region of the dental sitedepicted in the historical template, wherein the first region isseparated from the second region.
 16. The system of claim 15, whereinthe processing device is further to: generate, during the intraoral scansession, an image of the dental site comprising the first intraoralimage at the first region and the remaining intraoral images at thesecond region, wherein the image is to be displayed on a graphical userinterface (GUI).
 17. The system of claim 16, wherein the first intraoralimage defines a first surface of the dental site at the first region andthe remaining intraoral images define a second surface of the dentalsite at the second region, the processing device further to: determine athird surface of the dental site at a third region based on thehistorical template, wherein the third region is between the firstregion and the second region; and include the third surface in theimage.
 18. The system of claim 15, wherein the processing device isfurther to: determine an intraoral area of interest based on theplurality of intraoral images and the historical template, wherein theintraoral area of interest comprises a third region of the dental sitethat is represented in the historical template but is not represented inthe plurality of intraoral images; and provide an indication of theintraoral area of interest.
 19. The system of claim 15, wherein theprocessing device is further to: compare the plurality of intraoralimages to the historical template; determine a difference between aprevious depiction of the dental site as represented in the historicaltemplate and a current depiction of the dental site as represented inthe plurality of intraoral images; and generate a graphicalrepresentation of the difference between the previous depiction of thedental site and the current depiction of the dental site.
 20. The systemof claim 15, wherein the processing device is further to: identify arestorative area of the dental site represented in the plurality ofintraoral images, wherein the restorative area comprises a stump of atooth; determine a baseline area associated with the restorative areabased on the historical template, wherein the baseline area represents asurface of the tooth before the tooth was ground into the stump; andprovide the baseline area to be displayed in a graphical user interface.21. A non-transitory machine-readable storage medium includinginstructions that, when accessed by a processing device, cause theprocessing device to: receive a plurality of intraoral images of adental site during an intraoral scan session; determine that ahistorical template of the dental site is existent; register, a firstintraoral image of the plurality of intraoral images to the historicaltemplate at a first region of the dental site depicted in the historicaltemplate; and register one or more remaining intraoral images of theplurality of intraoral images to the historical template at a secondregion of the dental site depicted in the historical template.
 22. Thenon-transitory machine-readable storage medium of claim 21, wherein theprocessing device is further to: determine that the first intraoralimage does not register to the one or more remaining intraoral images;and in response to determining that the first intraoral image does notregister to the one or more remaining intraoral images, register thefirst intraoral image to the historical template at the first region ofthe dental site and register the one or more remaining intraoral imagesto the historical template at the second region of the dental site,wherein the first region is separated from the second region.
 23. Thenon-transitory machine-readable storage medium of claim 21, wherein theprocessing device is further to perform registration between the one ormore remaining intraoral images using first registration criteria,wherein second registration criteria are used for registering the firstintraoral image to the historical template, wherein the secondregistration criteria are less restrictive than the first registrationcriteria.
 24. The non-transitory machine-readable storage medium ofclaim 21, wherein the processing device is further to: generate a threedimensional virtual model of the dental site from the plurality ofintraoral images; determine that a portion of the plurality of intraoralimages represents soft tissue based at least in part on a differencebetween a previous depiction of the dental site as represented in thehistorical template and a current depiction of the dental site asrepresented in the plurality of intraoral images; and remove the portionof the plurality of intraoral images that represent s the soft tissuefrom the three dimensional virtual model of the dental site.